WO2014185515A1 - Outil de traitement endoscopique - Google Patents

Outil de traitement endoscopique Download PDF

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Publication number
WO2014185515A1
WO2014185515A1 PCT/JP2014/063052 JP2014063052W WO2014185515A1 WO 2014185515 A1 WO2014185515 A1 WO 2014185515A1 JP 2014063052 W JP2014063052 W JP 2014063052W WO 2014185515 A1 WO2014185515 A1 WO 2014185515A1
Authority
WO
WIPO (PCT)
Prior art keywords
sheath
locking portion
forceps
linear member
coil spring
Prior art date
Application number
PCT/JP2014/063052
Other languages
English (en)
Japanese (ja)
Inventor
啓太 小路
雅俊 佐藤
鈴木　啓太
Original Assignee
オリンパスメディカルシステムズ株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by オリンパスメディカルシステムズ株式会社 filed Critical オリンパスメディカルシステムズ株式会社
Priority to CN201480003653.3A priority Critical patent/CN104869921B/zh
Priority to EP14797258.2A priority patent/EP2997912B1/fr
Priority to JP2014561207A priority patent/JP5722514B1/ja
Publication of WO2014185515A1 publication Critical patent/WO2014185515A1/fr
Priority to US14/746,203 priority patent/US9717516B2/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/06—Biopsy forceps, e.g. with cup-shaped jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2939—Details of linkages or pivot points
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs

Definitions

  • the present invention relates to an endoscope treatment tool that is used by being inserted into a body cavity in a diameter-endoscopic manner.
  • an endoscopic treatment tool (hereinafter also simply referred to as a “treatment tool”) that is inserted into a body cavity in a diameter endoscopic manner and used to perform various treatments on tissue in the body cavity has been studied.
  • the treatment tools described in Patent Literature 1 and Patent Literature 2 are known.
  • a pair of forceps members supported so as to be relatively rotatable around a rotation axis are provided at the distal end of the treatment tool.
  • the rotation shaft is attached to the distal end portion of the elongated sheath, and an operation wire is inserted through the sheath so as to advance and retreat.
  • An operation unit is connected to the base ends of the sheath and the operation wire.
  • Link members are respectively attached to the proximal ends of the pair of forceps members. The base ends of these link members are rotatably connected to the tips of the operation wires. Then, the pair of forceps members are relatively rotated around the rotation axis by operating the operation portion and moving the operation wire forward and backward with respect to the sheath. In this manner, the closed state in which the pair of forceps members are in contact with each other and the fully open state in which the pair of forceps members are separated from each other are switched.
  • the forceps member in the treatment instrument can be easily adjusted in its open / closed state so as to correspond to body cavity tissues of various shapes and thicknesses.
  • the opening angle of the pair of forceps members is intermediate between the fully opened state and the closed state, and the opening angle
  • the opening angle of the pair of forceps members is not a constant value, it is difficult to perform a stable treatment.
  • the present invention has been made in view of such problems, and is an endoscope treatment tool that can easily adjust a pair of forceps members to a half-open state in which the opening angle is a constant value.
  • the purpose is to provide.
  • An endoscope treatment tool includes a sheath, a support portion attached to the distal end portion of the sheath, and a rotation axis disposed in front of the sheath and provided in the support portion.
  • a pair of forceps members having a pair of opposing surfaces, and a pair of opposing forceps members inserted in the sheath so as to be able to advance and retreat, and as the distance from the rotation shaft increases,
  • a linear member that moves the opposed surfaces closer to each other and separates the pair of opposed surfaces from each other as it approaches the rotation axis; an elastic member supported by the linear member or the support; and the linear member Or a locking portion provided on the forceps member, and when the linear member moves away from the rotating shaft and the pair of opposed surfaces come into contact with each other, the locking portion is Apart from the elastic member in a natural state, When the pair of opposing surfaces move away from each other and the pair of opposed surfaces move away from each other, the locking portion moves to a contact position that contacts the elastic member in the natural state, and the contact position The locking portion further moves so that the locking portion moved to the rotation axis approaches the rotation shaft, thereby elastically deforming the elastic member, and the locking portion positioned at the contact position.
  • the pair of opposed surfaces
  • the elastic member has the strand wound in a spiral shape and the adjacent strands are in the natural state.
  • the coil spring is spaced apart in the axial direction of the spiral, and the coil spring is supported by the linear member being inserted through the coil spring substantially parallel to the axial direction of the spiral.
  • the support portion Provided on the proximal end side of the linear member from the spring, the support portion has a support surface for supporting the coil spring on the distal end side of the coil spring, and the linear member approaches the rotating shaft.
  • the coil spring may be compressed in the longitudinal direction of the sheath by the locking portion and the support surface.
  • the linear member is configured such that the coil springs are elastically compressed and the strands adjacent in the axial direction are mutually connected. You may move so that it may approach the said rotating shaft to the position which contact
  • the elastic member is disposed such that the thickness direction of the elastic member is parallel to the longitudinal direction of the sheath.
  • the leaf spring is curved so that one of the longitudinal directions is convex in the natural state, and the leaf spring is formed with a through-hole penetrating in the thickness direction, and the leaf spring
  • the linear member is inserted and supported through a through hole, the locking portion is provided on the proximal end side of the linear member from the leaf spring, and the support portion is on the distal end side of the leaf spring, A support surface for supporting the leaf spring; and when the linear member moves so as to approach the rotation shaft, the leaf spring approaches the flat shape by the locking portion and the support surface. May be.
  • the linear member moves so as to approach the rotating shaft until the leaf spring is deformed into a flat shape. It may be possible.
  • the elastic member is formed in a cylindrical shape and is supported by the support portion by being externally fitted to the support portion.
  • the locking portion may be provided in at least one of the forceps portions, and the locking portion may deform the elastic member when the linear member moves so as to approach the rotating shaft.
  • the locking portion may be provided at a proximal end of the forceps member.
  • the pair of forceps members can be easily adjusted to a half-open state in which the opening angle is a constant value.
  • FIG. 8 is a cross-sectional view taken along line AA in FIG. It is sectional drawing of the side surface of the front end side in the 2nd usage pattern of the holding forceps. It is sectional drawing of the side surface of the front end side in the 3rd usage pattern of the holding forceps. It is sectional drawing of the side surface of the front end side in the 1st usage pattern of the grasping forceps of 4th Embodiment of this invention. It is sectional drawing of the side surface of the front end side in the 2nd usage pattern of the holding forceps. It is sectional drawing of the side surface of the front end side in the 3rd usage pattern of the holding forceps.
  • the grasping forceps 1 includes a grasping portion 10 that grasps a tissue, a flexible insertion portion 30 provided on the proximal end side of the grasping portion 10, and a proximal end side of the insertion portion 30. And an operation unit 40 for operating the gripping unit 10.
  • the 1st usage pattern of the grasping forceps 1 which the slip prevention surfaces 12a and 13a mentioned later became a closed state is shown.
  • the grip portion 10 includes a tip cover member (support portion) 11 and a pair of forceps members 12 and 13 that are rotatably supported by the tip cover member 11.
  • the tip cover member 11 includes a cylindrical portion 15 having a cylindrical shape with an axis C extending in the front-rear direction, and a pair of covers 16 extending so as to sandwich the axis C from the tip surface of the cylindrical portion 15 (one cover 16). Is not shown).
  • An annular member 15 a that protrudes from the inner peripheral surface is provided at the tip of the cylindrical portion 15.
  • the base end side surface of the annular member 15a is a support surface 15b.
  • a step portion 15 c having an inner diameter larger than that of other portions of the cylindrical portion 15 is formed.
  • a rotating shaft 17 that joins the covers 16 to each other is provided at the distal ends of the pair of covers 16.
  • the forceps members 12 and 13 are arranged so as to intersect at the central portion in the extending direction in a side view, and are supported by the central portion so as to be relatively rotatable around the rotation shaft 17 described above. Yes.
  • anti-slip surfaces (opposing surfaces) 12a and 13a that are opposed to each other and have minute irregularities are provided on the distal end side of the forceps members 12 and 13 from the rotation shaft 17.
  • the forceps members 12 and 13 are disposed between the pair of covers 16.
  • the tip cover member 11 and the forceps members 12 and 13 are made of a metal having biocompatibility such as stainless steel.
  • a distal end of a link member 19 is rotatably connected to a proximal end of the forceps member 12 via a link rotation shaft 18.
  • the distal end of the link member 21 is rotatably connected to the proximal end of the forceps member 13 via the link rotation shaft 20.
  • the base end of the link member 19 and the base end of the link member 21 are connected by a common rotation shaft 22 so as to be rotatable.
  • the common rotation shaft 22 is disposed on the axis C.
  • the forceps members 12 and 13 rotate around the rotation shaft 17, so that the anti-slip surfaces 12 a and 13 a are mutually connected. It approaches and it becomes a closed state where the opening angle of the anti-slip surfaces 12a, 13a is zero.
  • the anti-slip surfaces 12a and 13a are separated from each other and are fully opened. The opening angle of the anti-slip surfaces 12a and 13a can be increased until the common rotating shaft 22 moves to the distal end side and a coil spring 35 described later is in a tightly wound state.
  • the insertion portion 30 includes a sheath 31, a wire tether 32 inserted through the cylindrical portion 15 and the sheath 31 with the distal end connected to the common rotation shaft 22, and a stopper (engagement unit) attached to the proximal end of the wire tether 32. Stop portion) 33, an operation wire 34 attached to the base end of the stopper 33, and a coil spring (elastic member) 35 having a tip attached to the support surface 15b while being inserted through the wire tether 32. Yes.
  • the wire connection 32 and the operation wire 34 constitute a linear member.
  • a coil sheath is used in which a wire is wound in a so-called dense winding in the longitudinal direction D of the sheath 31 parallel to the axis C of the sheath 31.
  • the sheath 31 has flexibility and compression resistance in the longitudinal direction D.
  • a step portion 31 a is formed on the outer peripheral surface of the distal end of the sheath 31. In a state in which the step portion 31a of the sheath 31 and the step portion 15c of the distal end cover member 11 are engaged, the step portion 31a and the step portion 15c are laser-welded, etc. 31 is attached.
  • the outer diameters of the tip cover member 11 and the sheath 31 can be made equal, and the insertability of the grip portion 10 and the insertion portion 30 can be improved.
  • a sheath tube having a small frictional resistance may be provided on the outer peripheral surface of the sheath 31.
  • the outer diameter of the wire tether 32 is set smaller than the inner diameter of the annular member 15a.
  • the stopper 33 is formed of stainless steel or the like in a substantially cylindrical shape, and is arranged so that the axis of the stopper 33 is parallel to the longitudinal direction D.
  • the outer diameter of the stopper 33 is set smaller than the inner diameter of the cylindrical portion 15 and the inner diameter of the sheath 31.
  • the operation wire 34 is inserted into the sheath 31 so as to be able to advance and retreat, and the proximal end side of the operation wire 34 extends to the operation unit 40.
  • the coil spring 35 is formed such that the strands 35a of the coil spring 35 are spirally wound and the adjacent strands 35a are separated in the axial direction of the spiral in a natural state where no external force other than gravity acts. ing.
  • the inner diameter of the coil spring 35 is set larger than the outer diameter of the stopper 33.
  • the coil spring 35 is disposed in the cylindrical portion 15.
  • the coil spring 35 is supported by the tip cover member 11 by being attached to the support surface 15b of the tip cover member 11 in a state where the wire tether 32 is inserted in the coil spring 35 substantially parallel to the axial direction of the spiral. .
  • the wire tether 32 is moved to the proximal end side together with the common rotation shaft 22.
  • the stopper 33 is disposed at a separated position away from the coil spring 35, and the coil spring 35 is in a natural state.
  • the operation unit 40 includes an operation unit main body 41 connected to a proximal end portion of the sheath 31 and a slider 42 provided on the outer peripheral surface of the operation unit main body 41 so as to be able to advance and retreat.
  • the operation unit main body 41 is formed in a substantially cylindrical shape, and a slit (not shown) that communicates with the conduit of the operation unit main body 41 is formed on the outer surface of the operation unit main body 41.
  • a finger ring 41 a is provided at the base end of the operation unit main body 41.
  • a recess 42 a is formed on the side surface of the slider 42 over the entire circumference in the circumferential direction.
  • the slider 42 is attached to the proximal end portion of the operation wire 34 through the aforementioned slit of the operation unit main body 41.
  • the slider 42 When the grasping unit 10 reaches the vicinity of the tissue to be treated, the slider 42 is pushed into the operation unit main body 41. Accordingly, as shown in FIG. 2, the stopper 33 is in a natural state in the process in which the common rotation shaft 22 moves to the distal end side together with the operation wire 34 and the wire tether 32 and the anti-slip surfaces 12a and 13a are separated from each other. It moves to the contact position P2 that contacts the base end of the coil spring 35 and is locked to the coil spring 35. At this time, the anti-slip surfaces 12a and 13a are not completely separated, in other words, the opening angle is a half-open state between the closed state and the fully-open state, and the grasping forceps 1 is in the second usage pattern.
  • the coil spring 35 in a natural state is compressed, so that the force required to press the slider 42 increases as the slider 42 is pressed toward the distal end side. For this reason, the operator who operates the slider 42 can easily recognize whether or not the grasping forceps 1 is in the second usage pattern. Further, since the position of the base end of the coil spring 35 in the natural state is constant with respect to the distal end cover member 11, the opening angle of the anti-slip surfaces 12a and 13a in the half-open state is also a constant value.
  • the anti-slip surfaces 12a and 13a of the grasping forceps 1 in the second usage pattern are brought into contact with the tissue.
  • the grasping forceps 1 is returned from the second usage pattern to the first usage pattern, and the tissue is gripped between the forceps members 12 and 13 to perform an appropriate treatment.
  • the grasping forceps 1 is used in an environment where the surrounding space has a relatively large margin.
  • the stopper 33 moves further from the contact position P2 to the distal end side as shown in FIG. 3 and moves to the compression position P3.
  • the coil spring 35 is elastically compressed in the longitudinal direction D by the stopper 33 and the support surface 15b.
  • the common rotation shaft 22 moves to the tip side together with the operation wire 34, so that the anti-slip surfaces 12a and 13a have a larger opening angle than when the stopper 33 is at the contact position P2.
  • the coil spring 35 cannot be compressed any more.
  • the anti-slip surfaces 12a and 13a are fully opened with the largest opening angle, and the grasping forceps 1 is in the third usage pattern.
  • the anti-slip surfaces 12a and 13a of the grasping forceps 1 that has become the third usage pattern are brought into contact with the tissue.
  • the grasping forceps 1 is returned from the third usage pattern to the first usage pattern, and the tissue is gripped between the forceps members 12 and 13 to perform appropriate treatment.
  • the anti-slip surfaces 12a and 13a are in the closed state, and the stopper 33 is disposed at the separated position away from the coil spring 35 in the natural state.
  • the slider 42 is pushed in from the usage pattern. Thereby, when the stopper 33 moves to the contact position P2 that contacts the coil spring 35 in the natural state, the anti-slip surfaces 12a and 13a are in a half-open state.
  • the stopper 33 elastically deforms the coil spring 35, and the anti-slip surfaces 12a and 13a are fully opened. Since the contact position P2 at which the stopper 33 contacts the coil spring 35 in the natural state is constant, the opening angle of the anti-slip surfaces 12a and 13a in the half-open state can be constant.
  • the force required to push the slider 42 while the stopper 33 moves from the contact position P2 to the compression position is reduced by the contact position of the stopper 33. It increases in proportion to the displacement from P2 to the tip side. For this reason, the operator who operates the slider 42 can easily recognize the position of the stopper 33 disposed between the contact position P2 and the compression position. Furthermore, since the coil spring 35 compressed until it is in the tightly wound state cannot be compressed any more, the operator can easily recognize that the anti-slip surfaces 12a and 13a are fully open. Since the position of the base end of the coil spring 35 when it is in a tightly wound state is constant, the opening angle of the anti-slip surfaces 12a and 13a that are fully open can be made constant.
  • the coil spring 35 is disposed inside the tip cover member 11, that is, on the tip side of the grasping forceps 1.
  • the tip of the coil spring 35 is attached to the support surface 15b.
  • the tip of the coil spring 35 may not be attached to the support surface 15b, and the wire tether 32 may be inserted through the coil spring 35. This is because the coil spring 35 can be supported by the wire tether 32 even with this configuration.
  • the position of the coil spring 35 can be further stabilized by attaching the tip of the coil spring 35 to the support surface 15b.
  • the grasping forceps 2 of this embodiment includes a leaf spring (elastic member) 51 instead of the coil spring 35 of the grasping forceps 1 of the first embodiment.
  • the leaf spring 51 is made of stainless steel, resin, or the like, and is formed in a curved shape so as to be convex toward one side in the thickness direction in a natural state.
  • the leaf spring 51 is formed with a through hole 51a that penetrates in the thickness direction of the leaf spring 51.
  • the leaf spring 51 is disposed in the cylindrical portion 15 such that its thickness direction is parallel to the longitudinal direction D.
  • the leaf spring 51 is supported by the wire link 32 by inserting the wire link 32 through the through hole 51a.
  • the outer diameter of the leaf spring 51 in the natural state is set larger than the inner diameter of the annular member 15 a of the tip cover member 11, and the inner diameter of the through hole 51 a is set smaller than the outer diameter of the stopper 33.
  • the leaf spring 51 is not attached to the support surface 15 b and is disposed between the support surface 15 b and the stopper 33.
  • a protruding piece 15 d that protrudes from the inner peripheral surface of the cylindrical portion 15 on the proximal end side from the leaf spring 51 in the cylindrical portion 15.
  • the stopper 33 is disposed at the separation position P1 separated from the leaf spring 51 in the first usage pattern in which the anti-slip surfaces 12a and 13a are closed. Then, by pushing the slider 42, the stopper 33 moves to the contact position P2 that contacts the base end of the leaf spring 51 in the natural state, as shown in FIG. At this time, the anti-slip surfaces 12a and 13a are in a half-open state separated by a certain distance, and the grasping forceps 2 is in the second usage pattern. Since the position of the base end of the leaf spring 51 in the natural state is constant with respect to the tip cover member 11, the opening angle of the anti-slip surfaces 12a and 13a in the half-open state is also a constant value.
  • the stopper 33 moves further to the tip side as shown in FIG.
  • the leaf spring 51 is elastically compressed in the longitudinal direction D by the stopper 33 and the support surface 15b, the curvature of the leaf spring 51 extends and approaches a flat shape, and the opening angle of the anti-slip surfaces 12a and 13a increases.
  • the stopper 33 moves to the distal end side and reaches the compression position P3 until the leaf spring is deformed into a flat shape, the stopper 33 cannot move further to the distal end side.
  • the anti-slip surfaces 12a and 13a are fully opened with the largest opening angle, and the grasping forceps 2 is in the third usage pattern.
  • the forceps members 12 and 13 can be easily adjusted to a half-open state in which the opening angle of the anti-slip surfaces 12a and 13a is a constant value.
  • the elastic member is the leaf spring 51
  • the length in the longitudinal direction D of the elastic member is shorter than when the coil spring 35 is used as in the first embodiment. Thereby, the length of the longitudinal direction D of the grasping forceps 2 can be shortened.
  • the slider 42 cannot be further pushed in by deforming the leaf spring 51 until it becomes a flat shape. Therefore, the surgeon can easily recognize that the anti-slip surfaces 12a and 13a are fully opened.
  • a part of the edge of the leaf spring 51 may be attached to the support surface 15b. Even if comprised in this way, the leaf
  • the grasping forceps 3 of the present embodiment replaces the wire tether 32, the stopper 33, the operation wire 34, and the coil spring 35 of the grasping forceps 1 of the first embodiment with an operation wire ( A linear member) 61 and an elastic member 62.
  • the distal end of the operation wire 61 is inserted through the cylindrical portion 15 and the sheath 31 while being connected to the common rotation shaft 22, and the proximal end of the operation wire 61 is attached to the slider 42.
  • the elastic member 62 is formed in a cylindrical shape with an elastic material such as rubber.
  • the inner diameter of the elastic member 62 is set to be equal to or slightly smaller than the outer diameter of the cover 16 (the outer shape of the pair of covers 16 in the direction in which the pair of covers 16 are arranged).
  • the non-contact part 62b which is not contacting the cover 16 among the elastic members 62 is in a natural state where no external force other than gravity acts.
  • the base ends of the forceps members 12 and 13 are the locking portions 12b and 13b.
  • the gripping forceps 3 configured as described above has the locking portions 12 b and 13 b in the conduit of the elastic member 62 in the first usage pattern in which the anti-slip surfaces 12 a and 13 a are closed. It is arrange
  • the locking portions 12b and 13b move radially outward and move to the contact position P2 where they come into contact with the non-contact portion 62b of the elastic member 62 in the natural state.
  • the opening angle of the anti-slip surfaces 12a and 13a in the half-open state is also a constant value.
  • the forceps members 12 and 13 can be easily adjusted to the half-open state. Since the base ends of the forceps members 12 and 13 are the locking portions 12b and 13b, the anti-slip surfaces 12a and 13a provided on the distal ends of the forceps members 12 and 13 are elastic members 62 that are deformed by the locking portions 12b and 13b. Can be kept away from Thereby, when the anti-slip
  • the locking portions 12b and 13b are provided at the proximal ends of the forceps members 12 and 13, respectively.
  • the locking portion may be provided in one of the forceps members 12 and 13 or may be provided in an intermediate portion in the extending direction of the forceps members 12 and 13.
  • the elastic member 62 is formed in a cylindrical shape, the cross-sectional shape of the elastic member by a plane orthogonal to the longitudinal direction D may be an ellipse or a polygon.
  • FIGS. 11 to 13 a fourth embodiment of the present invention will be described with reference to FIGS. 11 to 13.
  • the same parts as those of the above embodiment are denoted by the same reference numerals, and the description thereof will be omitted. Only differences will be described. explain.
  • the grasping forceps 4 of the present embodiment is replaced with a distal end cover member 71, a sheath 72, and an elastic member 62 instead of the distal end cover member 11, the sheath 31, and the elastic member 62 of the grasping forceps 3 of the third embodiment.
  • a covering tube 73 is provided.
  • the cover 16 has a diameter larger than that of the cylindrical portion 15, and a step portion 16 a is formed at a connection portion between the cover 16 and the cylindrical portion 15.
  • the sheath 72 has a configuration in which a distal end side sheath 75 provided on the distal end side and a proximal end side sheath 76 provided on the proximal end side are connected by welding or the like.
  • the outer diameter of the distal end side sheath 75 is set substantially equal to the outer diameter of the cylindrical portion 15, and the outer diameter of the proximal end side sheath 76 is set substantially equal to the outer diameter of the cover 16.
  • a stepped portion 76 a is formed at a connection portion between the distal end side sheath 75 and the proximal end side sheath 76.
  • the covering tube 73 is made of a material such as a fluororesin that is flexible and hardly deforms by pressing the locking portions 12b and 13b.
  • a cylindrical stopper member 77 is attached to the inner peripheral surface of the covering tube 73.
  • the inner diameter of the stopper member 77 is set to be slightly larger than the outer diameters of the cylindrical portion 15 and the distal end side sheath 75 and is set to be smaller than the outer diameters of the cover 16 and the proximal end side sheath 76.
  • resin, metal, or the like can be preferably used as a material for forming the stopper member 77.
  • a tip cover member 71 and a sheath 72 are inserted through the covering tube 73, and a stopper member 77 is disposed between the step portion 16 a of the tip cover member 71 and the step portion 76 a of the sheath 72 in the longitudinal direction D. .
  • the grasping forceps 4 configured as described above pulls back the slider 42 and pushes the covering tube 73 against the sheath 72 to lock the stopper member 77 to the stepped portion 16a of the tip cover member 71, thereby preventing the slip prevention surface 12a.
  • 13a is the first usage pattern in the closed state.
  • the distal end of the covering tube 73 is set to be disposed on the distal end side with respect to the locking portions 12b and 13b.
  • the locking portions 12 b and 13 b are disposed at positions separated from the inner peripheral surface of the covering tube 73.
  • the slider 42 is pushed in while maintaining the position of the covering tube 73 with respect to the sheath 72 from the first usage pattern.
  • the common rotating shaft 22 moves to the distal end side together with the operation wire 61, the opening angle of the anti-slip surfaces 12a and 13a is increased, and the locking portion is attached to the inner peripheral surface of the covering tube 73.
  • 12b and 13b contact
  • the anti-slip surfaces 12a and 13a are in a half-open state, and the grasping forceps 4 is in the second usage pattern.
  • the covering tube 73 is pulled back with respect to the sheath 72 and the stopper member 77 is locked to the stepped portion 76 a of the sheath 72, so that the locking portion 12 b, 13 b is closer to the base end side in the longitudinal direction D.
  • the tip of the covering tube 73 is disposed. If the slider 42 is further pushed in while maintaining this state, the locking portions 12b and 13b move radially outward and the opening angle of the anti-slip surfaces 12a and 13a increases, so that the anti-slip surfaces 12a and 13a are fully open.
  • the grasping forceps 4 is in the third usage pattern.
  • the endoscope treatment tool is a grasping forceps.
  • the endoscope treatment tool is not limited to this, and may be a bipolar forceps for incision or a suture instrument.
  • the pair of forceps members can be easily adjusted to a half-open state in which the opening angle is a constant value.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un outil de traitement endoscopique qui comporte : une gaine ; une partie support qui est fixée à une extrémité distale de la gaine ; une paire d'éléments formant pince qui est disposée en face de la gaine et disposée dans la partie support soutenue d'une manière relativement rotative autour d'un axe de rotation ; un élément linéaire qui est inséré à travers la gaine et qui peut être déplacé en va-et-vient, et qui, lorsqu'il s'éloigne de l'axe de rotation, rapproche l'une de l'autre les faces opposées, disposées de manière distale par rapport au niveau de l'axe de rotation sur chacun de la paire d'éléments formant pince, et lorsqu'il s'approche de l'axe de rotation sépare la paire de faces opposées l'une de l'autre ; un élément élastique qui est porté par l'élément linéaire ou la partie support ; un élément de verrouillage qui est disposé sur l'élément linéaire ou sur les éléments formant pince.
PCT/JP2014/063052 2013-05-17 2014-05-16 Outil de traitement endoscopique WO2014185515A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CN201480003653.3A CN104869921B (zh) 2013-05-17 2014-05-16 内窥镜处理器具
EP14797258.2A EP2997912B1 (fr) 2013-05-17 2014-05-16 Outil de traitement endoscopique
JP2014561207A JP5722514B1 (ja) 2013-05-17 2014-05-16 内視鏡処置具
US14/746,203 US9717516B2 (en) 2013-05-17 2015-06-22 Endoscope treatment tool

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2013105605 2013-05-17
JP2013-105605 2013-05-17

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US14/746,203 Continuation US9717516B2 (en) 2013-05-17 2015-06-22 Endoscope treatment tool

Publications (1)

Publication Number Publication Date
WO2014185515A1 true WO2014185515A1 (fr) 2014-11-20

Family

ID=51898489

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2014/063052 WO2014185515A1 (fr) 2013-05-17 2014-05-16 Outil de traitement endoscopique

Country Status (5)

Country Link
US (1) US9717516B2 (fr)
EP (1) EP2997912B1 (fr)
JP (1) JP5722514B1 (fr)
CN (1) CN104869921B (fr)
WO (1) WO2014185515A1 (fr)

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CN107072711A (zh) * 2015-06-18 2017-08-18 奥林巴斯株式会社 高频处置器具
WO2019106737A1 (fr) * 2017-11-29 2019-06-06 オリンパス株式会社 Outil de préhension médical
CN110621240A (zh) * 2017-06-21 2019-12-27 富士胶片株式会社 夹具处置器具
JP2022035058A (ja) * 2020-08-20 2022-03-04 株式会社Biomedical Solutions 生検鉗子
JP2022547092A (ja) * 2019-10-18 2022-11-10 ボストン サイエンティフィック サイムド，インコーポレイテッド フィラメント切断装置

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JP1576777S (fr) * 2016-10-05 2017-05-22
JP1577397S (fr) * 2016-10-05 2017-05-29
JP1576779S (fr) * 2016-10-05 2017-05-22
JP1576778S (fr) * 2016-10-05 2017-05-22
BR112020004431A2 (pt) * 2017-09-11 2020-09-08 Sumitomo Bakelite Co., Ltd. dispositivo de tratamento a alta frequência, faca de dispositivo de tratamento a alta frequência, e instrumento de tratamento distal do dispositivo de tratamento a alta frequência
CN109984777B (zh) * 2017-12-29 2022-02-08 江苏木偶医疗科技有限公司 一种驱动结构及具有柔性关节的装置
WO2020084655A1 (fr) * 2018-10-22 2020-04-30 オリンパス株式会社 Pince d'endoscope
CN114096208A (zh) * 2019-07-08 2022-02-25 奥林巴斯株式会社 内窥镜用处置器具
CN112370089A (zh) * 2020-11-16 2021-02-19 江苏安德瑞医疗器械配件有限公司 一种具备自矫正功能的钩式活检钳

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JP4056989B2 (ja) 2003-06-24 2008-03-05 オリンパス株式会社 内視鏡処置具
WO2007018264A1 (fr) * 2005-08-11 2007-02-15 Olympus Medical Systems Corp. Dispositif de traitement médical
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107072711A (zh) * 2015-06-18 2017-08-18 奥林巴斯株式会社 高频处置器具
CN110621240A (zh) * 2017-06-21 2019-12-27 富士胶片株式会社 夹具处置器具
WO2019106737A1 (fr) * 2017-11-29 2019-06-06 オリンパス株式会社 Outil de préhension médical
JP2022547092A (ja) * 2019-10-18 2022-11-10 ボストン サイエンティフィック サイムド，インコーポレイテッド フィラメント切断装置
JP2022035058A (ja) * 2020-08-20 2022-03-04 株式会社Biomedical Solutions 生検鉗子

Also Published As

Publication number Publication date
EP2997912B1 (fr) 2018-02-21
US9717516B2 (en) 2017-08-01
US20150282826A1 (en) 2015-10-08
CN104869921A (zh) 2015-08-26
JPWO2014185515A1 (ja) 2017-02-23
CN104869921B (zh) 2017-03-15
EP2997912A4 (fr) 2017-01-18
EP2997912A1 (fr) 2016-03-23
JP5722514B1 (ja) 2015-05-20

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